Disorders of the Hand: Volume 2: Hand Reconstruction and by Ian A. Trail, Andrew N.M. Fleming

By Ian A. Trail, Andrew N.M. Fleming

Disorders of the Hand describes the thoughts for prognosis acceptable to a number of the issues of the hand and the way facts established findings impact medical perform. treatments together with surgical procedure are mentioned intimately and scientific pearls are given in each bankruptcy. Nerve compression and hand reconstruction are comprehensively lined during this moment of 4 volumes, whereas hand accidents, irritation and arthritis, swelling and tumours, congenital hand defects and surgical concepts are integrated within the book’s 3 sister volumes.

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Extra resources for Disorders of the Hand: Volume 2: Hand Reconstruction and Nerve Compression

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Graft. Plast Reconstr Surg. 1975;56(2):166–70. 3. Mackinnon SE, Dellon AL. Nerve repair and nerve grafting. In: Mackinnon SE, Dellon AL, editors. Surgery of the peripheral nerve. New York: Thieme; 1988. p. 89–129. 4. Hill C, Riaz M, Mozzam A, Brennen MD. A regional audit of hand and wrist injuries. A study of 4873 injuries. J Hand Surg Br. 1998;23(2):196–200. 5. McAllister RM, Gilbert SA, Calder JS, Smith PJ. The epidemiology and management of upper limb peripheral nerve injuries in modern practice.

The second critical criterion to assess in the hand is the sensibility to the anatomical structure to be reanimated. A tendon transfer to a poorly M. Solomons 36 sensate hand will often result in a suboptimal clinical and functional outcome. This is because the brain will tend to exclude these areas from functional activity, and hence movement because of their reduced sensory feedback. Is the Patient Suitable for a Tendon Transfer? Tendon transfer surgery can be technically challenging and careful attention must be applied to the post operative rehabilitation.

High Radial Nerve Palsy These patients present with three distinct clinical deficits. • Loss of wrist extension • Loss of thumb extension • Loss of finger extension Most authors would agree that the preferred technique to restore wrist extension is by transferring the pronator teres. This reliable transfer is complicated only by the short donor tendon of pronator teres which needs to be elongated by a strip of periosteum at the time of harvest. In the unlikely scenario where the pronator teres cannot be used, then options include utilizing the FDS tendon from the middle and/or ring finger or performing a single FCU transfer to reconstruct wrist extension, finger extension and thumb extension [4].

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